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Individual
DR. GLENN MICHAEL WASSERMAN
Active
Individual
DR. GLENN MICHAEL WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-5316
HI
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD-5316
HI
2083X0100X
Occupational Medicine Physician
MD-5316
HI
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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